OMB control number

SAMHSA SOAR Web-Based Data Form

OMB 0930-0329 · HHS/SAMHSA.

OMB 0930-0329

SOAR Web-Based Data Form will collect information from case managers to be used to maintain records on Social Security disability benefits applications, as part of the Supplemental Security Income (SSI)/Social Security Disability Insurance (SSDI) Outreach Access and Recovery (SOAR) effort.

The latest form for SAMHSA SOAR Web-Based Data Form expires 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Part II SOAR Data Form - Part II (document unavailable) Form and Instruction
Form Part I SOAR Data Form - Part I Form and Instruction
SOAR Data Form SS-A 06-01-2022 .docx Supporting Statement A
SOAR Data Form SS-B 06-01-2022.docx (document unavailable) Supporting Statement B
SOAR Data Form - Part II Form and Instruction
SOAR Data Form - Part I Form and Instruction

All Historical Document Collections

202301-0930-001 Approved with change	Revision of a currently approved collection	2023-01-24
201912-0930-004 Approved without change	Extension without change of a currently approved collection	2020-03-04
201703-0930-002 Approved without change	Revision of a currently approved collection	2017-03-09
201607-0930-003 Approved without change	Revision of a currently approved collection	2016-07-28
201409-0930-001 Approved without change	Revision of a currently approved collection	2014-09-12
201407-0930-002 Improperly submitted and continue	Revision of a currently approved collection	2014-07-29
201108-0930-003 Approved with change	New collection (Request for a new OMB Control Number)	2011-08-22

OMB Details

SOAR Data Form - Part I

Federal Enterprise Architecture: Health - Public Health Monitoring

Form Part I

Part I

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.